Form W-4 (2013)
    Purpose. Complete Form W-4 so that your
    employer can withhold the correct federal income
    tax from your pay. Consider completing a new Form
    W-4 each year and when your personal or financial
    situation changes.
    Exemption from withholding. If you are exempt,
    complete only lines 1, 2, 3, 4, and 7 and sign the
    form to validate it. Your exemption for 2013 expires
    February 17, 2014. See Pub. 505, Tax Withholding
    and Estimated Tax.
    Note. If another person can claim you as a
    dependent on his or her tax return, you cannot claim
    exemption from withholding if your income exceeds
    $1,000 and includes more than $350 of unearned
    income (for example, interest and dividends).
    Basic instructions. If you are not exempt, complete
    the Personal Allowances Worksheet below. The
    worksheets on page 2 further adjust your
    withholding allowances based on itemized
    deductions, certain credits, adjustments to income,
    or two-earners/multiple jobs situations.
    Complete all worksheets that apply. However, you
    may claim fewer (or zero) allowances. For regular
    wages, withholding must be based on allowances
    you claimed and may not be a flat amount or
    percentage of wages.
    Head of household. Generally, you can claim head
    of household filing status on your tax return only if
    you are unmarried and pay more than 50% of the
    costs of keeping up a home for yourself and your
    dependent(s) or other qualifying individuals. See
    Pub. 501, Exemptions, Standard Deduction, and
    Filing Information, for information.
    Tax credits. You can take projected tax credits into
    account in figuring your allowable number of
    withholding allowances. Credits for child or
    dependent care expenses and the child tax credit
    may be claimed using the Personal Allowances
    Worksheet below. See Pub. 505 for information on
    converting your other credits into withholding
    allowances.
    Nonwage income. If you have a large amount of
    nonwage income, such as interest or dividends,
    consider making estimated tax payments using Form
    1040-ES, Estimated Tax for Individuals. Otherwise, you
    may owe additional tax. If you have pension or annuity
    income, see Pub. 505 to find out if you should adjust
    your withholding on Form W-4 or W-4P.
    Two earners or multiple jobs. If you have a
    working spouse or more than one job, figure the
    total number of allowances you are entitled to claim
    on all jobs using worksheets from only one Form
    W-4. Your withholding usually will be most accurate
    when all allowances are claimed on the Form W-4
    for the highest paying job and zero allowances are
    claimed on the others. See Pub. 505 for details.
    Nonresident alien. If you are a nonresident alien,
    see Notice 1392, Supplemental Form W-4
    Instructions for Nonresident Aliens, before
    completing this form.
    Check your withholding. After your Form W-4 takes
    effect, use Pub. 505 to see how the amount you are
    having withheld compares to your projected total tax
    for 2013. See Pub. 505, especially if your earnings
    exceed $130,000 (Single) or $180,000 (Married).
    Future developments. Information about any future
    developments affecting Form W-4 (such as
    legislation enacted after we release it) will be posted
    at www.irs.gov/w4.
    Personal Allowances Worksheet (Keep for your records.)
    A
    Enter “1” for yourself if no one else can claim you as a dependent .
    ................. A
    B
    Enter “1” if:
    {
    • You are single and have only one job; or
    • You are married, have only one job, and your spouse does not work; or
    ...
    Your wages from a second job or your spouse’s wages (or the total of both) are $1,500 or less.
    }
    B
    C
    Enter “1” for your spouse. But, you may choose to enter “-0-” if you are married and have either a working spouse or more
    than one job. (Entering “-0-” may help you avoid having too little tax withheld.) . .
    ............
    C
    D
    Enter number of dependents (other than your spouse or yourself) you will claim on your tax return .
    ....... D
    E Enter “1” if you will file as head of household on your tax return (see conditions under Head of household above) . . E
    F
    Enter “1” if you have at least $1,900 of child or dependent care expenses for which you plan to claim a credit
    ...
    F
    ( Note. Do not include child support payments. See Pub. 503, Child and Dependent Care Expenses, for details.)
    G
    Child Tax Credit (including additional child tax credit). See Pub. 972, Child Tax Credit, for more information.
    • If your total income will be less than $65,000 ($95,000 if married), enter “2” for each eligible child; then less “1” if you
    have three to six eligible children or less “2” if you have seven or more eligible children.
    • If your total income will be between $65,000 and $84,000 ($95,000 and $119,000 if married), enter “1” for each eligible child .
    .. G
    H
    Add lines A through G and enter total here. ( Note. This may be different from the number of exemptions you claim on your tax return.)
    a
    H
    For accuracy,
    complete all
    worksheets
    that apply.
    {
    • If you plan to itemize or claim adjustments to income and want to reduce your withholding, see the Deductions
    and Adjustments Worksheet on page 2.
    • If you are single and have more than one job or are married and you and your spouse both work and the combined
    earnings from all jobs exceed
    $40,000 ($10,000 if married), see the Two-Earners/Multiple Jobs Worksheet on page 2 to
    avoid having too little tax withheld.
    • If neither of the above situations applies, stop here and enter the number from line H on line 5 of Form W-4 below.
    Separate here and give Form W-4 to your employer. Keep the top part for your records.
    Form
    Department
    W-4
    of the Treasury
    Internal Revenue Service
    Employee's Withholding Allowance Certificate
    a
    Whether you are entitled to claim a certain number of allowances or exemption from withholding is
    subject to review by the IRS. Your employer may be required to send a copy of this form to the IRS.
    OMB No. 1545-0074
    20 13
    1
    Your first name and middle initial
    Last name
    Home address (number and street or rural route)
    City or town, state, and ZIP code
    2
    Your social security number
    3
    Single
    Married
    Married, but withhold at higher Single rate.
    Note. If married, but legally separated, or spouse is a nonresident alien, check the “Single” box.
    4
    If your last name differs from that shown on your social security card,
    check here. You must call 1-800-772-1213 for a replacement card.
    a
    5
    Total number of allowances you are claiming (from line H above or from the applicable worksheet on page 2)
    5
    6
    Additional amount, if any, you want withheld from each paycheck .
    ............. 6$
    7
    I claim exemption from withholding for 2013, and I certify that I meet both of the following conditions for exemption.
    • Last year I had a right to a refund of all federal income tax withheld because I had no tax liability, and
    • This year I expect a refund of all federal income tax withheld because I expect to have no tax liability.
    If you meet both conditions, write “Exempt” here . . .
    ............
    a
    7
    Under penalties of perjury, I declare that I have examined this certificate and, to the best of my knowledge and belief, it is true, correct, and complete.
    Employee’s signature
    (This form is not valid unless you sign it.)
    a
    Date
    a
    8
    Employer’s name and address (Employer: Complete lines 8 and 10 only if sending to the IRS.)
    9 Office code (optional) 10 Employer identification number (EIN)
    For Privacy Act and Paperwork Reduction Act Notice, see page 2.
    Cat. No. 10220Q
    Form W-4 (2013)

    Form W-4 (2013)
    Page 2
    Deductions and Adjustments Worksheet
    Note. Use this worksheet only if you plan to itemize deductions or claim certain credits or adjustments to income.
    1
    Enter an estimate of your 2013 itemized deductions. These include qualifying home mortgage interest, charitable contributions, state
    and local taxes, medical expenses in excess of 10% (7.5% if either you or your spouse was born before January 2, 1949) of your
    income, and miscellaneous deductions. For 2013, you may have to reduce your itemized deductions if your income is over $300,000
    and you are married filing jointly or are a qualifying widow(er); $275,000 if you are head of household; $250,000 if you are single and
    not head of household or a qualifying widow(er); or $150,000 if you are married filing separately. See Pub. 505 for details .
    .
    .
    1
    $
    2
    Enter:
    {
    $12,200 if married filing jointly or qualifying widow(er)
    $8,950 if head of household
    .
    ..........
    $6,100 if single or married filing separately
    }
    2
    $
    3
    Subtract line 2 from line 1. If zero or less, enter “-0-” . .
    .............. 3
    $
    4
    Enter an estimate of your 2013 adjustments to income and any additional standard deduction (see Pub. 505)
    4
    $
    5
    Add lines 3 and 4 and enter the total. (Include any amount for credits from the Converting Credits to
    Withholding Allowances for 2013 Form W-4 worksheet in Pub. 505.) . .
    ..........
    5
    $
    6
    Enter an estimate of your 2013 nonwage income (such as dividends or interest) . .
    ...... 6
    $
    7
    Subtract line 6 from line 5. If zero or less, enter “-0-” . .
    .............. 7
    $
    8
    Divide the amount on line 7 by $3,900 and enter the result here. Drop any fraction .
    ...... 8
    9
    Enter the number from the Personal Allowances Worksheet, line H, page 1 . . .
    ...... 9
    10
    Add lines 8 and 9 and enter the total here. If you plan to use the Two-Earners/Multiple Jobs Worksheet,
    also enter this total on line 1 below. Otherwise, stop here and enter this total on Form W-4, line 5, page 1
    10
    Two-Earners/Multiple Jobs Worksheet (See Two earners or multiple jobs on page 1.)
    Note. Use this worksheet only if the instructions under line H on page 1 direct you here.
    1
    Enter the number from line H, page 1 (or from line 10 above if you used the Deductions and Adjustments Worksheet )
    1
    2
    Find the number in Table 1 below that applies to the LOWEST paying job and enter it here. However, if
    you are married filing jointly and wages from the highest paying job are $65,000 or less, do not enter more
    than “3”
    .
    .............................
    2
    3
    If line 1 is more than or equal to line 2, subtract line 2 from line 1. Enter the result here (if zero, enter
    “-0-”) and on Form W-4, line 5, page 1. Do not use the rest of this worksheet .
    ........
    3
    Note. If line 1 is less than line 2, enter “-0-” on Form W-4, line 5, page 1. Complete lines 4 through 9 below to
    figure the additional withholding amount necessary to avoid a year-end tax bill.
    4
    Enter the number from line 2 of this worksheet .
    ......... 4
    5
    Enter the number from line 1 of this worksheet .
    ......... 5
    6
    Subtract line 5 from line 4 .
    ........................ 6
    7 Find the amount in Table 2 below that applies to the HIGHEST paying job and enter it here .
    ... 7$
    8
    Multiply line 7 by line 6 and enter the result here. This is the additional annual withholding needed . .
    8
    $
    9
    Divide line 8 by the number of pay periods remaining in 2013. For example, divide by 25 if you are paid every two
    weeks and you complete this form on a date in January when there are 25 pay periods remaining in 2013. Enter
    the result here and on Form W-4, line 6, page 1. This is the additional amount to be withheld from each paycheck
    9
    $
    Table 1
    Married Filing Jointly
    If wages from LOWEST
    paying job are—
    Enter on
    line 2 above
    $0 - $5,000
    0
    5,001 - 13,000
    1
    13,001 - 24,000
    2
    24,001 - 26,000
    3
    26,001 - 30,000
    4
    30,001 - 42,000
    5
    42,001 - 48,000
    6
    48,001 - 55,000
    7
    55,001 - 65,000
    8
    65,001 - 75,000
    9
    75,001 - 85,000
    10
    85,001 - 97,000
    11
    97,001 - 110,000
    12
    110,001 - 120,000
    13
    120,001 - 135,000
    14
    135,001 and over
    15
    All Others
    If wages from LOWEST
    paying job are—
    Enter on
    line 2 above
    $0 - $8,000
    0
    8,001 - 16,000
    1
    16,001 - 25,000
    2
    25,001 - 30,000
    3
    30,001 - 40,000
    4
    40,001 - 50,000
    5
    50,001 - 70,000
    6
    70,001 - 80,000
    7
    80,001 - 95,000
    8
    95,001 - 120,000
    9
    120,001 and over
    10
    Table 2
    Married Filing Jointly
    If wages from HIGHEST
    paying job are—
    Enter on
    line 7 above
    $0 - $72,000
    $590
    72,001 - 130,000
    980
    130,001 - 200,000
    1,090
    200,001 - 345,000
    1,290
    345,001 - 385,000
    1,370
    385,001 and over
    1,540
    All Others
    If wages from HIGHEST
    paying job are—
    Enter on
    line 7 above
    $0 - $37,000
    $590
    37,001 - 80,000
    980
    80,001 - 175,000
    1,090
    175,001 - 385,000
    1,290
    385,001 and over
    1,540
    Privacy Act and Paperwork Reduction Act Notice. We ask for the information on this
    form to carry out the Internal Revenue laws of the United States. Internal Revenue Code
    sections 3402(f)(2) and 6109 and their regulations require you to provide this information; your
    employer uses it to determine your federal income tax withholding. Failure to provide a
    properly completed form will result in your being treated as a single person who claims no
    withholding allowances; providing fraudulent information may subject you to penalties. Routine
    uses of this information include giving it to the Department of Justice for civil and criminal
    litigation; to cities, states, the District of Columbia, and U.S. commonwealths and possessions
    for use in administering their tax laws; and to the Department of Health and Human Services
    for use in the National Directory of New Hires. We may also disclose this information to other
    countries under a tax treaty, to federal and state agencies to enforce federal nontax criminal
    laws, or to federal law enforcement and intelligence agencies to combat terrorism.
    You are not required to provide the information requested on a form that is subject to the
    Paperwork Reduction Act unless the form displays a valid OMB control number. Books or
    records relating to a form or its instructions must be retained as long as their contents may
    become material in the administration of any Internal Revenue law. Generally, tax returns and
    return information are confidential, as required by Code section 6103.
    The average time and expenses required to complete and file this form will vary depending
    on individual circumstances. For estimated averages, see the instructions for your income tax
    return.
    If you have suggestions for making this form simpler, we would be happy to hear from you.
    See the instructions for your income tax return.

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